Speed of recovery after arthroscopic rotator cuff repair

Kurowicki, Jennifer; Berglund, Derek D.; Momoh, Enesi; Disla, Shanell; Horn, Brandon; Giveans, M. Russell; Levy, Jonathan C.

doi:10.1016/j.jse.2016.11.002

Cited by 41 publications

(28 citation statements)

References 19 publications

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“…In 627 patients followed up for 2 years after ARCR, Kurowicki et al 16) found that maximal functional recovery reached a plateau at 1 year postoperatively. In a systematic review of 19 studies comprising 1370 cases, Zuke et al 17) also reported a maximum recovery period of 1 year postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Imai

Gotoh

Hagie³

et al. 2019

PRM

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Imai

Gotoh

Hagie³

et al. 2019

PRM

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“…Healing will generally occur in rotator cuff tears at 6 months, 16 and although longer-term review is required to ensure that the improvements are sustained, satisfactory healing and functional recovery was achieved at 12 months in these patients and the outcomes stabilized from 6 months onwards, suggesting that the follow-up in 1 year may be sufficient as an indicator of the outcome for this particular surgical approach. 16 The concerns and limitations of this study and technique were that it did require some familiarity and additional training with the anchor insertion technique. Further, the insertion of the implant over the lateral cortex of the humerus potentially places at risk the axillary nerve; however, positioning of the drill tunnels is dictated by the insertion instruments, which precluded placement of the anchors excessively distally.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic rotator cuff repair using a transosseous knotless anchor (ATOK)

Sandow

Schutz

2020

Journal of Shoulder and Elbow Surgery

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Background: This article reviews the clinical and radiographic outcomes in a noninferiority trial use of a transosseous knotless anchor to perform arthroscopic rotator cuff repairs in a patient cohort that have an increased incidence of osteoporosis. Methods: Patients aged over 60 with a documented rotator cuff tear and who failed a rehab program underwent repair using an arthroscopic transosseous knotless (ATOK) anchor. Patients were prospectively reviewed using shoulder functional assessments (age-adjusted Constant score, Oxford Shoulder Score, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form [ASES], visual analog scale [VAS] pain scores), and underwent preoperative as well as 1-, 3-, and 12-month postoperative magnetic resonance imaging. Results: 15 patients had undergone rotator cuff repair using the ATOK and were followed for a minimum of 24 months (range 24-30 months). From preoperative to 24 months post repair, median scores improved for ASES (61-89), Oxford (26-44), Constant (62-91), and VAS Pain (5-0.5). Four patients developed a partial retear of their repair, but only 1 patient sustained a complete retear: Sugaya type I, 10; type II, 1; type III, 2; type IV, 1; and type V, 1. No anchors were displaced, and there were no osteolysis, neurologic, or technique-related complications. Conclusions: Arthroscopic rotator cuff repairs using a transosseous knotless technique has achieved a satisfactory outcome in this group of patients, who typically have poor bone quality, increasing the risk of antegrade anchor pullout. This approach would appear to combine the potential biomechanical and biological advantages of a transosseous repair technique, with the benefits of the lower morbidity arthroscopic surgical approach. Level of evidence: Level IV; Case Series; Treatment Study Ó 2019 The Authors. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/).

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“…Shoulder-function rating systems for ARCR are used for the evaluation of clinical outcomes: UCLA score [ 31 – 33 ], Constant score [ 34 ], and ASES score [ 7 , 31 , 33 , 35 , 36 ]. Our recent study [ 18 ] shows that the cutoff value of 28 points in the UCLA score corresponded to 83 points in JOA score in patients with ARCR.…”

Section: Discussionmentioning

confidence: 99%

“…Kurowicki et al [ 7 ] showed that all patients who underwent ARCR demonstrated significant incremental improvements in pain, function, and motion at 3-, 6-, and 12-month time points, suggesting that the plateau of maximum recovery after ARCR occurred at 1 year with high satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Prognostic factors affecting clinical outcomes after arthroscopic rotator cuff repair: importance of functional recovery by 3 months after surgery

et al. 2018

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BackgroundTo examine important factors that affect clinical outcomes following arthroscopic rotator cuff repair (ARCR).MethodsAmong 163 patients who underwent ARCR, we included 71 shoulders in 71 patients whose progress was monitored for > 2 years, postoperatively. We divided the patients into groups A (scores ≥ 83 points, 59 patients) and B (scores < 83 points, 12 patients) using the Japanese Orthopedic Association (JOA) score at 24 months. We then conducted univariate and multivariate analyses of pre- and postoperative (2 and 3 months, respectively) factors.ResultsThe mean JOA score for all patients significantly improved from 63.7 ± 11.5 points preoperatively to 90.3 ± 9.6 points at 24 months postoperatively (P < 0.05). However, there were no significant between-group differences in the preoperative scores. In addition, there were no significant differences in the postoperative re-tear rate. Univariate analysis revealed that the range of motion (preoperative abduction and postoperative elevation, abduction, internal rotation, and external rotation), muscle strength (external rotation 3 months postoperatively), postoperative pain level [visual analog scale (VAS) maximum score, 10 points], partial repair, Cofield classification, and preoperative width were significant factors (P < 0.05 for all factors). Multivariate and receiver operating characteristic curve analyses showed that VAS at 2 months postoperatively and elevation at 3 months postoperatively were significant factors.ConclusionsTo obtain a JOA score of ≥ 83 points at 24 months postoperatively, following ARCR, a postoperative VAS of < 5 points at 2 months and postoperative elevation of ≥ 110° at 3 months should be achieved.

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Speed of recovery after arthroscopic rotator cuff repair

Cited by 41 publications

References 19 publications

Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Arthroscopic rotator cuff repair using a transosseous knotless anchor (ATOK)

Prognostic factors affecting clinical outcomes after arthroscopic rotator cuff repair: importance of functional recovery by 3 months after surgery

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